Differences between women and men in survival after myocardial infarction: biology or methodology?

Article Abstract:

Several recent studies have shown that women have higher mortality after myocardial infarction (MI, heart attack) than men. Being female may have an independent influence on prognosis, or alternately women may have greater mortality following an MI because they tend to be older or have different heart conditions than men. A study was conducted to review the cases of 332 women and 790 men who had suffered an MI. As a group, women were older than men at the time of the heart attack and more women had hypertension, diabetes, abnormal function of the left ventricle (a chamber of the heart), and previous heart failure. Cumulative mortality was higher in women than men during hospitalization and the following three years. This was attributed to the higher rate of in-hospital mortality of women. Among those patients who were discharged from the hospital, no difference in mortality by gender was found. However, when statistical corrections were made for age and medical condition prior to MI, the gender difference relative to in-hospital mortality disappeared and, among survivors of hospitalization, women actually had a slightly lower cumulative death rate after three years than men. Thus female gender was not an independent risk factor for death from heart attack. Women patients were simply older and more ill before having an MI than men. (Consumer Summary produced by Reliance Medical Information, Inc.)

Patient outcomes, Mortality, Coronary heart disease, Infarction, Women patients

---

Managing medical resources: Return to the commons?

Article Abstract:

Increase in health care costs has led to measure efficiency and quality of health care.

Forecasts, trends, outlooks, Forecasts and trends, Medical care, Medical care quality, Market trend/market analysis, Medical care, Cost of, Health care costs

---

Similar abstracts:

• Abstracts: Weekend versus weekday admission and mortality from myocardial infarction. Antioxidant versus lipid-altering therapy -- some answers, more questions
• Abstracts: Circadian variations in myocardial ischemia: implications for management. Breast cancer after Hodgkin disease: hope for a safer cure
• Abstracts: Identification and survival of carriers of mutations in DNA mismatch-repair genes in colon cancer. Activating mutations in the gene encoding the ATP-sensitive potassium-channel subunit Kir6.2 and permanent neonatal diabetes
• Abstracts: The interval between pregnancies and the outcome of subsequent births. Small-for-gestational-age infants and risk of fetal death in subsequent pregnancies

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.